2024-05-14T08:43:34-05:00 2023-06-30 990 2022-07-01 593425191 PEDIATRIC PHYSICIAN SERVICES INC PEDI 4439975771 3910 KESWICK RD S BLDG BALTIMORE MD 21211 SHERRON ROGERS CFO 4439975771 2024-05-14 SHERRON ROGERS XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHERRON ROGERS 501 SIXTH AVE S ST PETERSBURG FL 33701 131727683 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1997 FL PROVIDE HEALTHCARE SERVICES BY PEDIATRIC SPECIALTY PHYSICIANS 7 0 473 0 0 0 43096764 63739743 60742608 67986948 31081 992 0 0 103870453 131727683 0 0 0 0 85753861 91747344 0 0 0 18085555 39979407 103839416 131726751 31037 932 7550558 9250474 7319830 9018814 230728 231660 THE CORPORATION IS ORGANIZED FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES, AND TO PROVIDE HEALTHCARE SERVICES OF PEDIATRIC SPECIALTY PHYSICIANS AND OTHER PERSONNEL TO THE PATIENTS OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL AND AFFILIATED LOCATIONS. 0 0 131726751 67986948 PEDIATRIC PHYSICIAN SERVICES IS A MULTI-SPECIALTY PEDIATRIC PHYSICIAN CLINIC AFFILIATED WITH JOHNS HOPKINS ALL CHILDREN'S HOSPITAL. PEDIATRIC PHYSICIAN SERVICES PROVIDES PHYSICIAN AND OTHER HEALTHCARE SERVICES TO THE PATIENTS AT JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. IN ADDITION, THE PHYSICIANS AT PEDIATRIC PHYSICIAN SERVICES PROVIDE PATIENT, NURSING AND MEDICAL STUDENT EDUCATION AND PARTICIPATE IN CLINICAL RESEARCH STUDIES WITH JOHNS HOPKINS ALL CHILDREN'S HOSPITAL AND ALL CHILDREN'S RESEARCH INSTITUTE. 131726751 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 16 0 1 473 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X THE CORPORATION 4439975771 3910 KESWICK RD S BLDG BALTIMORE MD 21211 K ALICIA SCHULHOF TRUSTEE 1.00 59.00 X 0 979795 145507 DIVYA JOSHI MD PRESIDENT/TRUSTEE 30.00 30.00 X X 0 736786 32432 PAUL DANIELSON MD INTERIM PRESIDENT/TRUSTEE 30.00 30.00 X X 0 459560 34111 ANGELA GREEN TRUSTEE 1.00 59.00 X 0 362113 68997 SHERRON ROGERS VP, CFO/TRUSTEE 1.00 59.00 X X 0 383497 460 LISA DEBERRY TRUSTEE 1.00 59.00 X 0 227034 42427 JUSTIN OLSEN TRUSTEE 1.00 59.00 X 0 209080 3846 VICKIE WILLIAMS SECRETARY 1.00 59.00 X 0 260955 26958 JAMES QUINTESSENZA MD PHYSICIAN 40.00 0.00 X 1995191 0 44289 LUIS RODRIGUEZ MD NEUROSURGEON 40.00 0.00 X 892628 0 42081 THEODORE SPINKS MD PHYSICIAN 40.00 0.00 X 864814 0 43443 DAVID KAYS MD PHYSICIAN 40.00 0.00 X 859369 0 27794 NICOLE CHANDLER MD PHYSICIAN DIVISION CHAIR 40.00 0.00 X 745567 0 48834 KEVIN W SOWERS MSN RN FAA FORMER OFFICER/TRUSTEE 1.00 59.00 X 0 3140215 57115 PAUL COLOMBANI MD FORMER OFFICER/TRUSTEE 0.00 0.00 X 0 147271 0 GERAD THERIAC FORMER OFFICER 1.00 59.00 X 0 225726 21796 JOSEPH PERNO MD FORMER KEY EMPLOYEE 1.00 59.00 X 0 632229 56191 WASSAM RAHMAN MD FORMER KEY EMPLOYEE 50.00 0.00 X 498694 0 62585 5856263 7764261 758866 292 1 1 0 COMPHEALTH INC PO BOX 972651 DALLAS TX 75397 LABOR SERVICES 763624 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LABOR SERVICES 748337 LOCUMTENENS COM PO BOX 405547 ATLANTA GA 30384 LABOR SERVICES 497115 PROVIDENCE HEALTHCARE GROUP PO BOX 1380 COLLEYVILLE TX 76034 RECRUITING SERIVCES 313000 UNIVERSITY MEDICAL SERVICE ASSN 12901 BRUCE B DOWN BLVD TAMPA FL 33612 LABOR SERVICES 136389 6 63739743 63739743 PATIENT SERVICE REV. 621110 61605577 61605577 CONTRACT REIMBURSEMENT 621110 6381371 6381371 67986948 992 992 131727683 67986948 0 992 79905287 79905287 11842057 11842057 23264 23264 813 813 636 636 1610 1610 5646162 5646162 295546 295546 295932 295932 138194 138194 197484 197484 669550 669550 252564 252564 103150 103150 5841642 5841642 PURCHASED SERVICES- INT 21907057 21907057 COLLECTION AGENCY FEES 3257097 3257097 MEDICAL SUPPLIES 691015 691015 DUES, LICENSES & FEES 657691 657691 131726751 131726751 0 0 543628 1264371 4870277 5978526 45698 41605 1040984 856408 269944 184576 1821011 1781396 7550558 9250474 2722829 3237772 -21216 0 4618217 5781042 7319830 9018814 X 230728 231660 230728 231660 7550558 9250474 932 0 X 0 1 X 1 0 X 9601998 2704318 11249405 43096764 63739743 130392228 91707061 102419837 93446559 60742608 67986948 416303013 101309059 105124155 104695964 103839372 131726691 546695241 0 0 0 546695241 24058 12311 6844 31081 993 75287 24058 12311 6844 31081 993 75287 101333117 105136466 104702808 103870453 131727684 546770528 0.99990 0.99980 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1610 0 0 1610 0 PART II-B, LINE 1: THE ORGANIZATION PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY23, THE ORGANIZATION HAS CONFIRMED THAT $1,610 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES. 929634 791454 138180 111350 64954 46396 184576 OTHER ASSETS 1024412 DUE FR AFFILIATES 280255 OPERATING LEASE ROU ASSETS 476729 1781396 DUE TO AFFILIATES 5300924 OPERATING LEASE ROU LIABILITIES 480118 5781042 X PART X, LINE 2: FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON PEDIATRIC PHYSICIAN SERVICES' FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2023 AND 2022. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 KEVIN W SOWERS MSN RN FAA FORMER OFFICER/TRUSTEE 0 1628974 0 1198350 0 312891 0 44608 0 12507 0 3197330 0 275832 JAMES QUINTESSENZA MD PHYSICIAN 1991381 0 0 0 3810 0 13536 0 30753 0 2039480 0 0 0 K ALICIA SCHULHOF TRUSTEE 0 665302 0 311300 0 3193 0 124402 0 21105 0 1125302 0 0 LUIS RODRIGUEZ MD NEUROSURGEON 863583 0 5000 0 24045 0 13536 0 28545 0 934709 0 0 0 THEODORE SPINKS MD PHYSICIAN 859686 0 0 0 5128 0 0 0 43443 0 908257 0 0 0 DAVID KAYS MD PHYSICIAN 854056 0 3333 0 1980 0 13536 0 14258 0 887163 0 0 0 NICOLE CHANDLER MD PHYSICIAN DIVISION CHAIR 717909 0 5000 0 22658 0 13536 0 35298 0 794401 0 0 0 DIVYA JOSHI MD PRESIDENT/TRUSTEE 0 581760 0 126864 0 28162 0 19880 0 12552 0 769218 0 0 JOSEPH PERNO MD FORMER KEY EMPLOYEE 0 490713 0 92666 0 48850 0 19949 0 36242 0 688420 0 0 WASSAM RAHMAN MD FORMER KEY EMPLOYEE 444753 0 40735 0 13206 0 13536 0 49049 0 561279 0 0 0 PAUL DANIELSON MD INTERIM PRESIDENT/TRUSTEE 0 438004 0 0 0 21556 0 13536 0 20575 0 493671 0 0 ANGELA GREEN TRUSTEE 0 297528 0 57024 0 7561 0 35551 0 33446 0 431110 0 0 SHERRON ROGERS VP, CFO/TRUSTEE 0 310118 0 73056 0 323 0 0 0 460 0 383957 0 0 VICKIE WILLIAMS SECRETARY 0 216590 0 39280 0 5085 0 15922 0 11036 0 287913 0 0 LISA DEBERRY TRUSTEE 0 199181 0 27200 0 653 0 24774 0 17653 0 269461 0 0 GERAD THERIAC FORMER OFFICER 0 216632 0 8000 0 1094 0 9732 0 12064 0 247522 0 0 JUSTIN OLSEN TRUSTEE 0 148400 0 25000 0 35680 0 0 0 3846 0 212926 0 0 PAUL COLOMBANI MD FORMER OFFICER/TRUSTEE 0 0 0 0 0 147271 0 0 0 0 0 147271 0 147271 PART I, LINE 1A THE ORGANIZATION WILL PROVIDE TAX GROSS UP PAYMENTS IN CERTAIN CIRCUMSTANCES WITH APPROPRIATE LEVELS OF REVIEW AND APPROVAL. DURING THE TAX YEAR, SEVERAL HIGHEST PAID EMPLOYEES OF THE ORGANIZATION RECEIVED A GROSS UP PAYMENT. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THE LISTED INDIVIDUALS. PART I, LINE 4B A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2022 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2022. KEVIN SOWERS $275,831.54 PART I, LINE 7 ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE. FORM 990, PART V, QUESTION 2A ALL COMPENSATION OF PEDIATRIC PHYSICIAN SERVICES EMPLOYEES IS PAID THROUGH ALL CHILDREN'S HEALTH SYSTEM, INC. USING ITS FEDERAL TAX ID NUMBER. THIS IS KNOWN AS A COMMON PAYMASTER AGREEMENT. EMPLOYEES OF ALL CHILDREN'S HEALTH SYSTEM AND ITS OTHER SUBSIDIARIES ARE ALSO PAID THROUGH THE SAME AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 ALL CHILDREN'S HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF PEDIATRIC PHYSICIAN SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A ALL CHILDREN'S HEALTH SYSTEM, INC, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF PEDIATRIC PHYSICIAN SERVICES, ELECTS THE BOARD OF TRUSTEES. THIS IS SUBJECT TO THE APPROVAL OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF ALL CHILDREN'S HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF PEDIATRIC PHYSICIAN SERVICES, INC. IS EMPOWERED BY ITS BYLAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER ALL CHILDREN'S HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 8B PEDIATRIC PHYSICIAN SERVICES, INC. CURRENTLY ONLY HAS A GOVERNING BODY WITH NO ADDITIONAL COMMITTEES, BUT RELIES ON THE COMMITTEES OF JOHNS HOPKINS HEALTH SYSTEM. THE COMMITTEES OF JOHNS HOPKINS HEALTH SYSTEM HAVE DOCUMENTED ITS MEETINGS AND ACTIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED ELECTRONICALLY TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TRUSTEES AND APPROPRIATE OFFICERS, WHO ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS AND PROVIDE FEEDBACK BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY IS A PART OF THE ANNUAL DISCLOSURE STATEMENT PROCESS. ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST AND TO COMPLY WITH THE CONFLICT-OF-INTEREST POLICY. CONFLICTS OF INTEREST ARE DETEREMINED AT A HEALTH SYSTEM LEVEL AND INCLUDE THE ORGANIZATION AND ALL OF ITS AFFILIATES. THE ORGANIZATION'S LEGAL DEPARTMENT IS RESPONSIBLE FOR REVIEWING ALL THE ACTUAL OR POTENTIAL CONFLICTS OF INTERESTS AND FOR DETERMINING APPROPRIATE ACTION TO ELIMINATE OR MANAGE THE CONFLICT OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED MEMBER MUST (1) REFRAIN FROM ANY ATTEMPTS TO EITHER DIRECTLY OR INDIRECTLY INFLUENCE THE DECISION MAKING PROCESS IN WHICH THERE EXISTS A POTENTIAL FOR CONFLICTS OF INTEREST; (2) REFRAIN FROM PARTICIPATING IN ANY DISCUSSIONS LEADING TO TEH APPROVAL OR DISAPPROVAL OF THE TRANSACTION CREATING TEH CONFLICT, EXCEPT TO DISCLOSE MATERIAL FACTS RELATING TO THE CONFICT; AND (3) ABSTAIN FROM VOTING ON THE TRANSACTION CREATING THE CONFLICT OR TRANSMITTING ANY OTHER OPINION, INCLUDING NOT BEING PRESENT IN THE ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. FURTHERMORE, THE ORGANIZATION'S INTERMEDIATE SANCTIONS TRANSACTION REVIEW COMMITTEE REVIEWS AND DETERMINES WHETHER A PROPOSED TRANSACTION BETWEEN A TRUSTEE, OFFICER, KEY EMPLOYEE OR DISQAULIFIED PERSON AND THE ORGANIZATION WOULD CREATE AN EXCESS BENEFIT TO SUCH TRUSTEE, OFFICER, KEY EMPLOYEE OR A DISQAULIFIED PERSON, OR WHETHER SUCH PROPOSED TRANSACTION QUALIFIES FOR A REBUTABLE PRESUMPTION AGAINST EXCESS BENEFIT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF JOHNS HOPKINS MEDICINE, ON BEHALF OF THE ORGANIZATION, REVIEWS THE PERFORMANCE AND APPROVES THE COMPENSATION OF THE OFFICERS AND KEY PERSONNEL OF THE ORGANIZATION. IN REVIEWING AND APPROVING COMPENSATION, THE COMMITTEE RELIES ON APPROPRIATE MARKET DATA FOR COMPARABLE JOBS IN ORGANIZATIONS, AND ENSURES THAT SUCH DATA INDICATES THE COMPENSATION ORDINARILY PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES. DELIBERATIONS AND DECISIONS OF THE COMMITTEE REGARDING THE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE FORM OF MINUTES OF COMMITTEE MEETINGS, AND COPIES OF ALL COMPARABILITY DATA AND REPORTS RETAINED. FORM 990, PART VI, SECTION C, LINE 19 PEDIATRIC PHYSICIAN SERVICES, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ALL CHILDREN'S HEALTH SYSTEM INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 592481740 MANAGEMENT SERVICES MD 501(C)(3) LINE 12C, III-FI JOHNS HOPKINS HEALTH SYSTEM CORP 0 ALL CHILDREN'S RESEARCH INSTITUTE INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 592481742 RESEARCH MD 501(C)(3) LINE 4 ALL CHILDREN'S HEALTH SYSTEM INC 0 HOWARD COUNTY FOUNDATION INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 521072778 FUNDRAISING/SUPPORTING ORGANIZATION DC 501(C)(3) LINE 12C, III-FI N/A 0 HOWARD COUNTY GENERAL HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 522093120 HOSPITAL MD 501(C)(3) LINE 3 JOHNS HOPKINS HEALTH SYSTEM CORP 0 JOHN HOPKINS ALL CHILDREN'S FOUNDATION INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 592481738 FOUNDATION MD 501(C)(3) LINE 7 ALL CHILDREN'S HEALTH SYSTEM INC 0 JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC 3910 KESWICK RD SOUTH BLDG 4TH FL S BALTIMORE MD 21211 590683252 HOSPITAL MD 501(C)(3) LINE 3 JOHNS 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